Individual registration Form: Wed 13 & Thurs 14 May, Wed 14 & Thurs 15 Oct 2015; please indicate preferred dates; places are limited to 15. Clinical day to be arranged in consultation with Clinical Nurse Consultant Anaphylaxis Management - Professional Development Program -Train the Trainer Name of person making the booking: Name of person attending the course: Mailing Address for invoice: Suburb: Postcode: Home Address: Suburb: Postcode: Telephone contact: M: Email contact: Qualifications: H: Registration Fee $660.00 PP plus GST ($726): Payment options: □ □ □ Credit card – please ensure all details are completed below Cheque made payable to Allergy & Immunology Dept RCH please invoice organization below Fill in for credit card payment: □ Mastercard □ Visa Card Number: _ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _Expiry date: _ _ / _ _ Signature: ____ Name: Organisation: Mailing address: Suburb: State: Postcode _____________ Phone: Fax: Email: Places are limited. Registration is not confirmed until payment is received. One week’s notice of cancellation of registration is required or a refund cannot be granted. ABN 35 655 720 546 “The Royal Children’s Hospital” On payment of this registration, this document becomes a tax invoice Please email form to carol.whitehead@rch.org.au NON ATTENDIES: I understand that I need to provide 48 hours notice if I am unable to attend the training. If 48 hours notice is not given or an individual does not attend the training I understand that the course fee still applies and must be paid. Signature: Date: Train the Trainer Course 2015 – please note: some detail may change this course has been especially designed to provide additional information on allergic disease and anaphylaxis. The Royal Children’s Hospital is committed to support educators and trainers in their delivery of allergy and anaphylaxis training. We have developed a comprehensive three day course to extend individual’s knowledge of allergy and anaphylaxis and to see how children are diagnosed with allergy here at the hospital. Two of these days are classroom focused and one is clinical placement. This is the first course that offers clinical observation time in the Department alongside our excellent clinicians. This course is not a nationally recognised training Course with the Australian Qualification Framework. It is professional development to participants who already have certificate IV in Training and Assessment to equip them to deliver the RCH course entitled Management and Prevention of Allergy and Anaphylaxis which has the same content as the accredited course 22099VIC First Aid Management of Anaphylaxis. This is relevant to Schools & Children’s Services in Victoria. To participants who do not hold a Certificate IV Training and Assessment, this course increases their knowledge of allergy and anaphylaxis and they are able to support others with yearly updates and briefings. Content Overview Allergic disease o IgE mediated allergy o Links between asthma and allergy o Food allergy Vs food intolerance How is Allergy Diagnosed? o Tests to identify – skin prick, specific IgE testing o What are food challenges Incidence of anaphylaxis in Australian children Current research in Australia Recognising an allergic reaction o Signs and symptoms o First aid management of anaphylaxis Risk assessment of workplace environments o What is risk management o How does a service complete risk assessment o Preventative strategies Current legislation for schools and early childhood services Regulations and ministerial orders what do they mean? What schools are facing when trying to implement the ministerial order Risk management required in the classroom Ensuring delivery meets participants need; Appropriate assessment Half day clinical observation and half day case study and assessment Assessment tasks and case study Assessment - The assessment for this program is to: Submit a report on a child with an allergic reaction that attends the Department of Allergy and Immunology at RCH. The student needs to accompany a child through the process of having the consultation with the Specialist, undergoing skin prick tests and food challenges and then concluding with the Specialist’s summation of the allergy and his/her ongoing management. The required assessment will consist of: a) an individual risk management plan (discussion with the parents) b) a risk management plan for the school or child care centre (discussion with the parents) c) a communication plan that focuses on stakeholders of the school/child care centre d) an emergency response plan Attendance at 2 day workshop and one day clinical placement Participation in classroom activities On successful completion of above requirements, participants will be awarded: Certificate of Completion: RCH Course Management & Prevention of Allergy & Anaphylaxis 3 day Anaphylaxis Management Professional Development Program Course Duration Class 9.00 am 4.00PM The clinical placement day is organised with the Clinical Nurse Consultant and the participant on a mutually acceptable day. All training materials will be distributed at the commencement of the course; each participant should bring a pen. Parking: parking is available underground at an hourly rate, limited short term on street parking available Please note 48 hours notice is required if you need to cancel your booking. There is a maximum of 15 places per session. Course Fee - $660.00 plus GST ($726) – includes morning tea on both in class days